| NPI | 1942880935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL PTA28940) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: OK TA704) |
| Enumeration Date | 2021-04-13 |
| Last Update Date | 2021-04-13 |